Research Library

We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience. We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience.
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Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage. Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage.
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Immigrant and refugee (im/migrant) families settled in Alberta (AB) are often challenged to overcome structural barriers (i.e., accent discrimination, English as a foreign language, culture shock) in the way of navigating and actively utilizing vaccination services. Research is scarce on the impact of childhood vaccination policies on children of im/migrants in Alberta. The objective of this study was to use an intersectionality-based evaluation framework, inclusive of health equity principles, to critically analyze and investigate current Alberta jurisdictional (AJ) childhood vaccination policies and policy guidance. More specifically, the focus of this research was to examine equity considerations in the policies as it relates to vaccinations of im/migrant children. This critical policy analysis inquired and sought to find out to what extent vaccination of children of im/migrants are equitably accounted for in the Alberta context. Relevant sources on Alberta childhood vaccination policies and policy guidance were retrieved from the Government of Alberta (GoA) and the Government of Canada (GoC) websites. Initial and retroactive searches, within a 15 year range, led to the content analysis of a total of 25 eligible GoA and GoC-AJ document(s) using an intersectionality-based health equity lens (acknowledgment of impact of immigration status and race/ethnicity on health). All of the childhood vaccination policies and policy guidance were found to lack acknowledgement of the existence of structural barriers that im/migrant families face. Recommendations for more inclusive vaccination policies are discussed. Immigrant and refugee (im/migrant) families settled in Alberta (AB) are often challenged to overcome structural barriers (i.e., accent discrimination, English as a foreign language, culture shock) in the way of navigating and actively utilizing vaccination services. Research is scarce on the impact of childhood vaccination policies on children of im/migrants in Alberta. The objective of this study was to use an intersectionality-based evaluation framework, inclusive of health equity principles, to critically analyze and investigate current Alberta jurisdictional (AJ) childhood vaccination policies and policy guidance. More specifically, the focus of this research was to examine equity considerations in the policies as it relates to vaccinations of im/migrant children. This critical policy analysis inquired and sought to find out to what extent vaccination of children of im/migrants are equitably accounted for in the Alberta context. Relevant sources on Alberta childhood vaccination policies and policy guidance were retrieved from the Government of Alberta (GoA) and the Government of Canada (GoC) websites. Initial and retroactive searches, within a 15 year range, led to the content analysis of a total of 25 eligible GoA and GoC-AJ document(s) using an intersectionality-based health equity lens (acknowledgment of impact of immigration status and race/ethnicity on health). All of the childhood vaccination policies and policy guidance were found to lack acknowledgement of the existence of structural barriers that im/migrant families face. Recommendations for more inclusive vaccination policies are discussed.
This publication has no Abstract to dispaly

In this report, Edmonton City Council is being asked to approve the Anti-Racism Strategy to support the equity of racialized communities in Edmonton, structural changes within the City of Edmonton Administration, as well as the development of an implementation and financing plan to activate the Strategy. This work will be prioritized in Administration’s work for the long-term City Plan alignment. The proposed anti-racism strategy outlines 3 elements to advance anti-racism in Edmonton, and is asking Council for both approval of the strategy as well as an increase in operating expenditure budget. In this report, Edmonton City Council is being asked to approve the Anti-Racism Strategy to support the equity of racialized communities in Edmonton, structural changes within the City of Edmonton Administration, as well as the development of an implementation and financing plan to activate the Strategy. This work will be prioritized in Administration’s work for the long-term City Plan alignment. The proposed anti-racism strategy outlines 3 elements to advance anti-racism in Edmonton, and is asking Council for both approval of the strategy as well as an increase in operating expenditure budget.
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An overview of the Rainbow Refuge program at the Edmonton Newcomers Centre (previously called the Edmonton Mennonite Newcomers Centre). Rainbow Refuge was the first LGBTQ+ program in the Edmonton settlement sector, and provides support and programming in the following 4 areas: 1) immigration, 2) settlement, employment and mental health, 3) community connection, and 4) education and advocacy. An overview of the Rainbow Refuge program at the Edmonton Newcomers Centre (previously called the Edmonton Mennonite Newcomers Centre). Rainbow Refuge was the first LGBTQ+ program in the Edmonton settlement sector, and provides support and programming in the following 4 areas: 1) immigration, 2) settlement, employment and mental health, 3) community connection, and 4) education and advocacy.
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The Vital Signs Report 2022 is a comprehensive document that sheds light on the issue of systemic racism in Edmonton. The report highlights the demographics of the city and the historical factors that have contributed to the systemic racism that exists today. It emphasizes the need to acknowledge the existence of discrimination and take action to eliminate it. The report also acknowledges the limitations of available data and language used in the report. The document encourages individuals and organizations to start conversations and take action to combat systemic racism. It provides a list of organizations working to improve the community and offers guidance on how individuals can make a difference. The report also features profiles of poet laureates, BIPOC, QTIBPOCs, Bear Clan Beaver Hills House, YEG the Come Up, 1884 Fellowship, and African Canadian Civic Engagement Council. Overall, the Vital Signs Report 2022 is a valuable resource for anyone interested in understanding and addressing systemic racism in Edmonton. The Vital Signs Report 2022 is a comprehensive document that sheds light on the issue of systemic racism in Edmonton. The report highlights the demographics of the city and the historical factors that have contributed to the systemic racism that exists today. It emphasizes the need to acknowledge the existence of discrimination and take action to eliminate it. The report also acknowledges the limitations of available data and language used in the report. The document encourages individuals and organizations to start conversations and take action to combat systemic racism. It provides a list of organizations working to improve the community and offers guidance on how individuals can make a difference. The report also features profiles of poet laureates, BIPOC, QTIBPOCs, Bear Clan Beaver Hills House, YEG the Come Up, 1884 Fellowship, and African Canadian Civic Engagement Council. Overall, the Vital Signs Report 2022 is a valuable resource for anyone interested in understanding and addressing systemic racism in Edmonton.
This publication has no Abstract to dispaly

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
This publication has no Abstract to dispaly

Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity. Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity.
This publication has no Abstract to dispaly

The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth. The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth.
This publication has no Abstract to dispaly

Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability. Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability.
This publication has no Abstract to dispaly